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<br />XName of Applicant: ::t'U B,,(;E"JJ 2.u~t-J \'EbE.tVphone, 7-S'a-Lf4<..2.. <br />XAddress: 772.' \~ ( ~"t" A V. ~ vJ. <br />XCity/state/Zip Code: 1< A H S EY M IIJ tV. ~ ~- -30'3 , <br />~ x_x __ ..,odp"=' 'R 0 "-- 32 =- .2 \ om3 ttb6 !f'd!:;! ~ I <br />. ~ 6/k. 2-J <br />X Brief description of the request: LIe e fJc. F TO C U '" ~ I--' l> I ' <br />J..... ,ll. { ...,,, G..DU L..l==l w N S { L ; l-E- L (;J /.J ~ sc.~ l> {",'6.. <br />THE.-RE.. W(U-'~e. tJO ""oRk!.. no...,€. ~\ <br />.. ..... '""t- {c( ( ~ .c;l- b RE~S( fJ 0 ~ <.l ( P '-t€"t.J'" \AI l LL ~ €.., ~~~ <br />CJ u.,.. So. (bE... <br />Date reviewed by Board of Adjustment/Planning and ZOning: <br /> <br />_____n.'. - .I.0.L <br /> <br />) <br /> <br />PERMIT FEE $50.00 <br />DATE FEE PAID ~ <br /> <br />CITY OF l\AMSEY <br />ZONING USE PERMIT APPLICATION <br /> <br />D Board of Adjustment <br />a COnditional Use <br />17 planned unit Development <br /> <br />U Rezon~ng <br />U. Mining' <br />U Grading or Filling <br /> <br />U Sign <br />D Other <br /> <br />ComIIlents on Reviewal: <br /> <br />Approval/Disapproval: <br /> <br />Date of Appr!>val: <br /> <br />Reason for Disapproval: <br /> <br /> <br />l: \IIlderstand the fee for a variance, conditional use permit and rezoning if <br />approved or denied, is a non-ref\llldable fee. l: also accept the conditions of <br />this permit and all terms of the City ordinances which govem. l: understand <br />that any changes from these plans must be resubmitted. <br /> <br /> <br />~~~.c6 Koning .-,<r'''' <br /> <br />. Date <br /> <br /> <br />/ <br />..........- <br />